Amani, Ebrahim

Amani, Ebrahim is an individual health care provider with primary practice located at 1049 E Wilson St Suite 160B, Batavia IL 60510-2474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Amani, Ebrahim can be contacted via phone (630) 232-2776.

Contact Information

Primary practice address
1049 E Wilson St Suite 160B Batavia IL 60510-2474
Phone: (630) 232-2776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 36-95344 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3695344 Illinois

Profile Details

NPI number 1386615904
LBN Legal business name Amani, Ebrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 13th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386615904 NPPES
Illinois Other P01160490 MEDICARE RAIL ROAD PTAN (INDIVIDUAL)
Illinois MEDICAID 036095344 MEDICARE RAIL ROAD PTAN (INDIVIDUAL)
Illinois Other 920540 MEDICARE RAIL ROAD PTAN (INDIVIDUAL)
Illinois Other 920540035 MEDICARE RAIL ROAD PTAN (INDIVIDUAL)
Illinois Other CA4748 MEDICARE RAIL ROAD PTAN (INDIVIDUAL)

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